RCFE TITLE EXAMS AND STUDY GUIDE EXAMS, Exams of Nursing

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RCFE TITLE EXAMS AND STUDY GUIDE

EXAMS WITH ACTUAL CORRECT

QUESTIONS AND VERIFIED DETAILED

RATIONALES ANSWERS 2024(NEWEST)

ALREADY GRADED A+

The residents funding source must be disclosed on admission agreement unless resident indicated that they do not wish to disclose the funding source 87507 T F True A telecommunication device Notification form must be completed for all residents upon admission 87507 T F False only if they indicate hearing or visual impairment Admission agreements must be signed no later than ___ days following admission 87507 3 7 10 7 Prior to a persons acceptance as as resident, the licensee shall obtain documentation of a medical assessment signed by a physician, made within the last___ 87458 6 mos 7days 12months 12 Months Hot water shall be between ____ 87303 100-125 105-125 105-120 100- 105- Taps at 125+ F shall have what? 87303 locking mechanism locking mechanism with a warning sign prominently displayed warning sign A Prominently displayed warning sign Grab bars for each toilet, bathtub, shower are required to be installed only if a resident requests them 87303 T F False They all must have Grab Bars

Non-skid mats or strips shall be in all bathtubs and showers 87303 T F True Resident rooms shall be heated to a minimum ___ 87303 65 68 72 75 68 The facility shall cool rooms to range between F or in areas of extreme heat F less than outside temp 87303 78 & 85 /30 78 & 85 /30 75 & 85 / 78/85 30 Emergency lighting which may include flashlights is only required in facilities of 16+ 87303 T F False A signal system must do which of the following? 87303 Operate from each room Transmit visual and/or auditory signal to central staff Identify specific room A B & C A B & C Storage areas for poisons, firearms and other dangerous weapons shall___ 87309 Only be kept in office Not be on the property Be locked Be Locked What size facility must post "No Smoking-O2 in use"? 87618 6+ 15+ all facilities all facilities Ammunition for firearms shall be stored and locked separately from firearms 87309 True False True Firing Pins must be stored and locked separately from firearms 87309 True False True Oxygen tanks that are not portable shall be secured in a stand or to a wall 87618 True False True

In the case of change of ownership or licensee, a new application for licenture is not required providing the facility is operating in substantial compliance 87109 True False False The facility license must be posted in a prominent location accessible to public view in all facilities 87113 True False True a change of address of a licensee shall be filed in writing to the licensing agency within ___ calendar days 87114 5 7 10 30 10 The licensee shall notify the licensing agency within ___ working days of the initiation of hospice services 87633 3 5 7 15 5 In order to provide hospice service in the facility, a waiver must be granted from the licensing agency 87632 True False True A facility which is applying for a license and is only asking for ambulatory fire clearance does not need a fire inspection 87202 True False False A written disaster and mass casualty plan is required for all facilities 87212 True False True A surety bond in the amount of ___ is requires for a facility safeguarding resident cash resources in the amount of $750.00 87216 500 2000 1000 1000 In a facility licensed for 20 residents, an awake night staff person is not required 87415 True False False

A prescription label for all OTC & Prescription PRN shall contain which of the following 87465 Specific symptom exact dosage Min hrs between doses Max doses each 24hrs A,B,C,D A,B,D A,B,C,D Which of the following is required for RCFE staff 87465 1st Aid CPR A&B 1st Aid A physician may alter a prescription label on a resident's medication 87465 True False False If a resident is unable to determine the need for PRN and cannot communicate symptoms clearly, the physician must be contacted prior to each dose 87465 True False True Unlicensed caregivers may administer injections provided they have been trained by a licensed professional 87465 True False False Tweezers and sterile first aid dressings are required components in a first aid kit in an RCFE 87465 True False True Half rails are never allowed in an RCFE 87608 True False False Ok with Prescription Not more than 12 hrs shall elapse between the third meal of the day and the first meal the following morning 87555 True False False 15 Hours A ___ day supply of non-perishable food must be maintained in the facility 87411 7 10 14 7 A ___ day supply of perishable food must be maintained in the facility 87555 1 2 3 7

Stage 1, 2, 3, and 4 pressure sores(dermal ulcers) are all considered prohibited conditions 87615 False 3 & 4 are prohibited which of the following conditions are considered restricted 87515 Catheter Diabetes Injections Stage 1& 2 pressure ulcers nasogastric staph A, B, C, D A, B, C, D what size facility must employ a full time activity director 87219 6-49 50-99 50+ 50+ facilities shall be cooled to which temp 87303 80-88 75-85 78-85 or 30 degrees less than outside 78-85 or 30 degrees less than outside A resident who is bedridden because of temporary illness requires notification to the fire department within 48 hrs of admitting. 87633 True False True Facilities must heat rooms to a minimum of 72 degrees 87303 True False False 68 An admission agreement shall be automatically terminated by the death of a resident unless agreed to ___ or ordered by a court 87507 Verbally In Writing In Writing Which of the following are rights of the residents 87468 Mail receive/reject medical care storage space A & C A,B & C A,B & C Facilities licensed for ___ beds or more shall prominently post residents rights or instructions on how to obtain copies of these rights 84768 1 7 16 50 7

Liquid oxygen is permitted with prior approval from the licensing agency 87618 True False True If a resident is able to determine the need and communicate the need for PRN medication, staff shall be permitted to assist the resident with self-administration 87465 True False True A home health nurse who is not employed by the facility must be criminally cleared by DSS/CCL prior to caring for a resident in the facility 87355 True False False They're cleared from BRN When there is a change of administrator, the licensing agency must be notified in writing within 10 days 87211 True False False 30 Days for Administrators, 10 Days for licensee a ___ medication is any prescription or non-prescription medication which is taken as needed 87101 PNR NPR PRN PRN A provisional license may not exceed ___ months 87101 3 6 12 12 a facility licensed for 6 beds or less does not have to post the license in a prominent place 87113 True False False The department shall be notified within___ calendar days when the address of the licensee changes 87114 7 15 30 10 10 When licensing a RCFE startup funds shall be sufficient to meet a minimum of ___ months operating cost 87155 1 2 3 6 3

Emergency exit plans & phone numbers must be posted in the facility 87212 True False True Cash resources and valuables of a resident which are entrusted to the licensee may be used for facility petty cash as long as reimbursement is made to the resident 87217 True False False The licensee is not required to handle residents' cash resources 87217 True False True If an application fee is denied, the application fee is _____ 87163 Refunded forfeited forfeited An applicant may appeal a denied license with written notice of appeal within ___ days of the postmark of the denial notice 87163 7 10 15 15 Any duly authorized officer, employee or agent of the Department may enter and inspect the entire premise with or without advance notice 87755 True False True all administrators shall complete at least ___ hrs of CE in areas related to aging and/or administration each year 87405 40 20 10 20 other than the administrator, all persons who supervise employees or supervise or care for residents must be at least 18 years of age or older 87411 True False True Smoking shall be prohibited where oxygen is in use 87618 True False True Linen shall be changed as often as necessary to provide clean linen at all times 87307 True False

True Freezers shall be maintained at a max temp 12F 87555 True False False 0 F Facilities licensed for ___ beds or more require a full time person responsible for the operation of food service 87555 16 20 50 100 50 Home canned foods shall not be used in an RCFE 87555 True False True The administrator of an RCFE may be 18 yrs of age 87405 True False False Admin, 21 employee, 18 Records of all medical destruction shall be kept on file for a minimum of 2 years 87465 True False False 3yrs Corporal punishment may be used with prior approval from the department 87468 True False False NEVER A resident may be locked in their room if it is determined that they are a danger to themselves 87468 True False False A copy of a personal rights, signed by the resident and responsible party or conservator, shall be a part of the residents record 87468 True False True Facilities licensed for 16+ shall be listed in the phone directory under the name of the facility 87311 True False True

All medications shall be stored in the container in which it was originally received 87465 True False True Finish statement: "On holidays, it may be necessary to furnish 3 meals a day, providing _________ licensing grants approval the resident grants approval the total daily food needs are met the total daily food needs are met Copies of menus as served shall be maintained in facilities licensed for 16+ or more for at least ___ days 87555 14 30 60 120 30 If a licensee is convicted of a crime other than a minor traffic violation, the facility license ,ay be revoked 87355 True False True "Capacity" means maximum number of persons authorized to be provided services at any one time in any licensed facility 87101 True False True The death of a resident requires a written report to the licensing agency and the responsible party within ___ days of the death 87211 1 3 5 7 7 A poisoning shall be reported within ___ hours 87211 12 24 36 24 Written verification of a caregivers age is a required component of an employees personnel record 87412 True False True In facilities licensed for ___ beds or more, there shall be a planned on the job training program 87411 7 16 50 16 personnel records must be maintained on file for __ years following termination of employment 87412 1 2 3

Facility exit doors may be locked at night for the protection of residents by prohibiting intruders from entering the facility 87508 True False True The destruction of medication by the administrator must be witnessed by ___ 87465 a resident CCL Rep non resident adult A, B or C non resident adult common wash cloths and towels may be shared by residents 87307 True False False All RCFE staff who assist residents with ADL's shall receive at least ___ hrs of initial training within the first ___ weeks of employment 87411 4, 4 6, 6 10, 4 10, 6 10/ In addition to initial training, all RCFE staff who assist with ADL's shall receive at least ___ hrs of training annually 87411 4 8 20 40 4 all personnel shall present a physician report verifying good health, The report may not be older than one year prior to employment 87411 True False False 6 months All employees subject to criminal review shall be criminally cleared______ employment or initial presence in the facility 87411 prior to within 7days after within 30 days after prior to an administrator with one year experience in the last eight years and a record of administering facilities in substantial compliance may conduct initial training for staff 87411 True False False 2 years

which must be included in all facility advertisements 87206 Licensee name admin name fac lic # A, B & C Facility License # Gastrostomy, tracheostomy and nasogastric tubes are health conditions that are NOT allowed in an RCFE 87615 True False True A written report to licensing is required within ___ days of the death of a resident 87211 1 2 7 5 7 an exception and waiver are the same thing 87101 True false False Casts and Braces are examples of postural supports 87608 True False True when must you verify the health status of a potential resident 87458 within 7 days after admission within 3 days after admission prior to admission prior to admission Must you notify the fire dept when oxygen is to be used in the facility 87618 No Yes Yes stage 1 & 2 pressure sores are prohibited conditions 87631 True False False 3&4 are prohibited stage 3 & 4 pressure sores are prohibited conditions 87631 True False True Maximum number of days for an emergency approval to operate 87101 30 60 90 60

A planned activity program is to be considered a basic service for all residents 87464 True False True solid waste shall be stored, located and disposed of in a manner that will not --- permit communicable disease transmit odors create a nuisance provide a breeding place or food source for insects or rodents ABC &D A,B,C & D solid waste containers shall be emptied at least___ 87303 once a week once a month every two weeks once a week an "exception" is a variance to a regulation based on the needs of a specific resident or staff person 87101 True False True Being unable to independently reposition in bed could define a resident as bed ridden 87455 True False True Under Title 22"Mild Cognitive impairment" is not considered dementia 87705 True False True residents with a diagnosis of dementia who are unable or unlikely to respond either physically or mentally to oral instructions relating to fire must reside in ___rooms 87705 ambulatory non-ambulatory ambulatory or non-ambulatory non-ambulatory Each resident with dememtia shall have a medical assessment by a physician at least ______ 87705 every 6 mos once a year once every 2 years once a year RCFE stands for 87101 Residential Care For the Elderly Residential Care Facility for the Elderly Retirement Care For the Elderly Rest and Care For the Elderly Residential Care Facility for the Elderly

a resident with dementia may never keep personal grooming and hygiene items in their own possession 87705 True False False In a facility where residents with dementia are residing, what is required if exiting the facility may present a hazard to any resident 87705 locked facility doors auditory device to monitor exits a staff member on duty at each exit auditory device to monitor exits in facilities caring for residents with dementia, fire and earthquake drills must be conducted every____ month other month three months three months the licensee shall not accept or retain residents determined by a physician to have a primary diagnosis of a mental disorder unrelated to dementia 87705 True False True staff who provide direct care to residents with dementia shall receive training on 87705 hydration skin care communication therapeutic activities behavioral challenges the environment assisting with ADL's all of the above all of the above care and supervision includes which of the following 87101 assistance with dressing central med storage house rules all of the above all of the above the max doses of a PRN med allowed in 24hr must be on the label 87465 True False True CPR training is required for all title 232 staff caring for residents 87465 True False False 1st aid is required Facility staff except those authorized by law, shall not administer injections 87465 True False True ok to assist patient

scissors, tweezers and a thermometer are required components of first aid kit 87465 True False True "waiver" means variance to a specific regulation based on facility wide need or circumstance. 87101 True False True when renewing admin cert, you must submit completion of ___ hrs of CE 87407 20 30 40 40 Administrators who also hold valid nursing home license shall be required to complete only ___ hours of the required 40 hrs of CE when renewing their RCFE admin Cert 87407 10 20 30 20 Mary the administrator likes to eat canned tomatoes at the facility. Mary may serve these canned tomatoes to residents 87555 True False False no home canned foods a third party repair person who is hired for a time limited job and is not left alone with residents does not have to be criminally cleared 87355 True False True The physician prescribed a modified diet for a resident. the facility must provide this modified diet to the resident as part of the basic rate 87555 True False True AED stand for____ Automatic Energy Defibrillator Automatic External Defibrillator Automatic External Device None of these Automatic External Defibrillator a staph infection or other serious infection is a prohibited condition 87615 True False True

Injections are ______health conditions 87612 Restricted prohibited restricted pressure sores are also called _____ dermal ulcers healing ulcers skin wound dermal ulcers a colostomy is considered a ____health condition 87612 restricted prohibited restricted a serious injury must be reported to licensing within 7 days 87211 True False True a caregiver is assisting a resident and the resident begins to experience extreme chest pain. The first thing the caregiver should do is call____ a physician 911 the family 911 a resident has a PRN med centrally stored, the label must contain 87465 symptom indicating exact dosage min hrs between doses max doses in 24hrs ABC&D AB&D ABC&D Richards facility has a hospice waiver. The dept must be notified within ___working days of initiation of hospice 87632 2 5 7 30 5 when admin assumes or relinquishes responsibility of facility, they have to provide written notice within 30 days to____ local lic office dept admin cert section a&b a&b all residents have cell phones therefore facility telephone is not required 87311 True False False all facilities licensed for ___ +and all with separate floors or buildings shall have a signal system 87303 7 16 50 16

all facility employees need to be criminally cleared 87355 True False True a resident depending on others for all ADL's would not be acceptable for RCFE 87615 True False True the living room must be heated to minimum ___ 65 66 68 72 68 written incident report must be submitted within 7 days of the event 87211 True False true if licensee hires new admin, he must notify lic within 20 days 87211 True False false prior to or within ___ of residents admission, licensee shall arrange a meeting with the resident and other appropriate parties to prepare written record of care resident will receive 87467 7d 2w 30d 2 weeks in facilities licensed for __or more, menus shall be written at least one week in advance 87555 6 8 16 2 16 In facilities licensed for less than ___shall maintain a sample menu on file 87555 6 15 12 16 16 In the case of a temporary need, tray service of meals shall be provided 87555 True False True which of the following is not a required step when becoming a certified administrator 87406 submit application to DSS complete and initial certification training program pass the state exam pay a $150 processing fee D. Fee is $

if an administrator does not renew her certification within four years of exp date, she must 87407 complete initial vert training program obtain 40 hrs CE & Fee do nothing can no longer be an administrator in CA None of the above complete initial certification training program planned activities must be posted in a readily accessible location in facilities licensed for how many residents 87219 all facilities 7+ 16-49 100+ 7+ copies of notices of planned activities must be retained for at least ___ months 87219 1 6 12 24 6 telephone service is required on the premises of all RCFEs 87311 True False True facility license number must be disclosed on all advertisements 87206 True False True residents religious preference, if any, is required to be recorded in the residents record 87506 True False True The minimum age for an administrator of an RCFE is ___ 87405 18 21 19 21 a resident may be evicted with 30 days notice if the rate of basic service is not paid within ___days of the due date 87224 3 30 10 10 restraints may be used when it is in the best interest of the resident 87468 True False False administrators must complete ___hrs of continuing education every two years 87407 10 20 30 40 40

a resident who is unable to leave the building due to confusion or cognitive impairment is considered ___ 87101 Ambulatory Nonambulatory Nonambulatory an individual must pass the state administrator certificate exam within ___ days of completing Initial Certification 87406 15 30 60 90 60 when rectifying every two years, administrators must pay a ___ processing fee 87407 $0 $100 $300 $ $ if an administrator renews his certification after the expiration date, but within four years of the expiration date, he must pay a $300 delinquency fee 87407 True False True Licenses are not responsible for monitoring residents for changes in physical condition, that is the physicians job 87466 True False False a licensee is best defined as 87101 individual having responsibility for the operation of a licensed facility an administrator CCL None of the above The individual having responsibility for the operation of a licensed facility The use of common wash cloths and towels shall be prohibited. T F True. Wash cloth and towels shall be dedicated to each residents. Between meal snacks shall be available to all residents unless limited by a physician, 87555 True Powdered milk may be used as a beverage 87555 False ok in cooking ingredients At least one bathtub or shower is required for each ___person(s) which includes residents, family and live-in personnel 87307 5 6 10 10

Which of the following are considered to be "an appropriately skilled professional? 87101

RN CNA Certified administrator All of the Above Registered Nurse (RN), Licensed Vocational Nurse (LVN), Physical Therapist (PT), Occupational Therapist (OT), Respiratory Therapist (RT) are "Appropriately Skilled Professional" Refrigerators shall maintain a maximum temp of ___F 87555 32 36 40 40 Pesticides may be stored in the kitchen area, providing they are not stored in the same cabinet or area as food supplies 87555 T F False The final rinse cycle of a dishwasher must reach a minimum of ___degrees F or disinfect by using a sanitizing agent 87555 160 165 170 175 170 Which of the following items are required in a residents room? 87307 chair night stand lamp chest/drawers refrigerator abcd abcde abcd chair night stand lamp Linen shall be changed at a minimum twice a month 87303 T F False once a week Ironing of a resident's personal clothing is the responsibility of the facility. 87307 T F True No more than ____residents may sleep in a bedroom 87303 1 2 3 4 2 A facility may designate a residents bedroom as a common activity room with the permission of the resident. 87307 T F False

Fillings and covers for mattresses and pillows shall be flame retardant 87303 T F True At least ___ toilet and wash basin for each persons 87307 1/6 1/8 2/ 1/ Bed rails that extend the entire length of the bed are prohibited, unless a resident is receiving hospice care and has a hospice care plan that specifies the need for full rails T F True In facilities licensed for ____or more, notice of planned activities shall be posted in a central location 87249 6 7 10 7 In facilities licensed for ____residents, one staff member shall have the primary responsibility for the organization, conduct and evaluation of planned activities 87219 6-29 15-49 16- 16- In facilities licensed for 7 residents or more, notices of planned activities shall be retained for at least 87219 6mos 12mos 3yrs 6 months In facilities licensed for 15 or less, awake night staff is always required 87415 T F False In facilities licensed for 16-100, at least ___ employees shall be on duty, on the premises and awake, and one employee on call and capable of responding within ___minutes 87415 1/10 2/10 1/ 1/ For night supervision staff, choose all of the following that are required. 87415 1st aid training know emer procedures CPR A&B Available to assist residents A,B & E A,B & E In what size facility is it a requirement to post a dated weekly employee time schedule 87413 6+ 10+ 16+

16+

In facilities that are required to post a dated weekly time schedule, it must include which 87413 empl name, title, hrs empl name, hrs, days off empl name, title, hrs, days off employee name, job title, hours, days off Residents with problems such as forgetfulness, wandering, confusion, or irritability may be accepted and retained in an RCFE 87455 T F True Oxygen from a portable source shall be used by residents when they are outside their room 87618 T F True A facility licensed for 2 residents does not need a certified administrator 87405 T F False a change in administrator requires written notification to the licensing agency within how many working days 87211 7 10 15 30 30 The admin for a facility licensed for ___shall have completed, with a passing grade, at least 15 college or CE Semester and shall have at least 1 year experience providing care to the elderly 87405 1-6 6-15 16-49 50+ 16-49 The admin for a facility licensed for ___shall have 2 years college and 3 years experience providing care to the elderly 87405 15-40 16-49 50+ 100+ 50+ It is the responsibility of the ____to make special provision for safety of residents with visual or auditory deficiencies 87405 Administrator Licensee Res Family Lic agency Administrator All persons (except Admin) who supervise employees or care for residents shall be at least ___ 21 18 17 18

A planned on the job training program is required in facilities licensed for___ 87411 6-16 10+ 16+ 16+ Good health of personnel will be verified by a health screening performed by a physician not more than ___prior to employment or ___after employment 87411 1yr/7d 6mo/7d 6mo/30d 6 months / 7 days Residents in good health may substitute for required staff 87411 T F False They may do household chores Volunterers in an RCFE shall be supervised by a staff member at all times 87411 T F True Admission agreements must disclose basic services as well as optional services 87507 T F True

(SNF) Patient Care Policies & Procedures shall include but not be limited to:

1. physician services, 2. nursing services, 3. infection control, 4. dietary services, 5. pharmaceutical, 6. activity program, 7. housekeeping services (ICF) Hot water must be kept between: 105-120 (SNF refers to title 24 for hot water temps which states the same as for ICF) (ICF) Tapsw/water temps higher than 125 degress F or more shall be what? IDentified by a warngin sign w/2" letters. (SNF refers to title 24 which states the same as for ICF) (SNF) Water for human consumption from an independent source is subjected to what?

Bacteriological analysis by the local health Department, state department of health or local licensed commercial lab at least every 3 months. copy of most recent report avialable for inspection. (ICF says same) (ICF) all screens must be what size and screen doors must be approved by who?

1. 6 mesh per centimeter or 16 mesh per inch, 2. approved by the state fire marshall (SNF refers to title 24 which says the same as ICF) (ICF) what is the minimum requirement of a signal system?
2. visible in the corridor above the patient's room, 2. audible signals and light indiciating the room, 3. must have a reset button in the room where the call originated unless there is a 2 way voice system (snf refers to title 24 which says the same as ICF) (SNF) static pressure drop (air filters) shall be maintained how?
3. written record of inspection cleaning or replacement, 2. description of filters originally installed, 3. the efficiency rating by ASHRAE (American Society of Heating Refrigerations and Air Conditioning Engineers),
4. Change the filters according to the recommendation by the manufacturer, 5. after cleaning or replacement, visually inspect fans when they are on and off using flashlight, 6 keep certifications from equipment service companies (ICF says same) (SNF)what are the required committees in a SNF?
5. PCP, 2. infection control, 3. pharmaceuitical (ICF only require pcp) (SNF) adminstrative policy and procedures shall be reviewed how often? revised? and approved in writing by who?
6. at least annually, 2. as needed, 3. the governing body or licensee and medical director. (ICF says reviewed and revised annually, and approved by the pcp|) (SNF) the pharmaceuitical lservice committee shall meet how often? at least quarterly (SNF) the pharmaceutical service committee shall be composed of the following:
7. pharmacist, 2. DON, 3. Administrator, 4. and one physician (SNF) pcp shall meet at least how often annually (ICF says same) (SNF) infection control committee shall meet how often? quarterly (ICF) upon written request, a licensee may request that a license, service or beds be put in suspense for how long? not to exceed 12 months

(ICF) all exposed xray film shall be retained for how long? 7 years (SNF says the same) (SNF) the administrator shall notify the department of an unusual occurrence w/in what time frame? 24 hours (ICF says the same) (Federal/obra) list the traditional survey process Task 1: off site survey prep Oscar/Casper report #3 facility compliance for the last 4 surveys and report #4 is the last survey in comparison to state and regional averages, Task 2: entrance conference, Task 3: initial tour, Task 4: sample selection, Task 5: information gathering, Task 6: information analysis, Task 7: exit conference (SNF) what are the lighting requirements in a SNF? 30 foot candels in reading areas and work areas. all other areas, including exits, entrances, stairways, ramps, corridors, and storerooms, must have 20 foot candles of light (ICF says 30 lumens in reading/work areas, 10 lumens in the rest of the room and 5 lumens in the exits, entrances, stairways, ramps, corridors and storerooms. (SNF) what are the requirements for employee health examination and health records?

1. all employees including licensee if working in the facility must have health exam, 2. exam must be 90 days prior to employment or within 7 days after. must have clearance for both TB and disease, 3. initial & annual test, recommended by CDC and licensed by FDA or a chest x-ray, 4. If TB test is positive, must do a 14" x 17" chest x-ray, 5. health records must be kept for a minimum of 3 years after termination. (fed (equal opporutnity act) says must be kep spearate of personnel file) (SNF) how are scheduled II drugs stored? records kept for how long?
2. in a separate locked cabinet unless in a unit dose system on scheduled basis, 2. records are kept for at least 1 year separate of other records unlessusing a unit dose system (SNF) drugs can be reurned to the issuing pharmacy under what circumstances?
3. they must be sealed, 2. cannot violate any state /federal regualtion, 3. cannot be schedule II, III, or IV,
4. identified by a lot or control number, 5. a separate log must be kept with signatures of the facility RN returnining the medications and signatures of the receiving pharmacist, 6. log must be kept for at leas 3 years (ICF says same) (SNF) SChedule II, III, IV drugs shall be destroyed by the facility in the presence of who? Documented How? logged how?
5. Pharmacist AND rn employed by the facility, (ICF says the same), 2. patient name, strength amount, date destroyed, prescription, 3. signature of pharmacist and rn, 4. kept in a separate log OR patient health record for at least 3 years. (SNF) drugs that are not schedule II, III, IV shall be destroyed in the presence of who? documented how? logged how?

1. pharmacist OR licensed nurse employed by the facility, 2. must have 1 other witness, 3. all signatures required, 4. log kept for at least 3 years. kept in a separate log OR patient health record for at least 3 years, 5. log the same details as for schedule II, date destroyed, prescription #, etc. (ICF says pharmacist OR rn plus 2 witnesses) (ICF) list the license categories
2. General Acute Hospital, 2. Acute Psychiatric Hospital, 3. Skilled Nursing Facility, 4. Intermediate Care Facility (SNF) how many hours are there of orientation and how is it broken down?
3. 16 hours a. first 8 hours-tour, pt population, daily routine, used of equipment, call cord and system, disaster and unusual occurrence and intro to pt care. b. second 8 hours (w/in 32 hours) administrative structure, organizational chart, services offered, role, and personnel policies and procedures. (ICF leaves it to the faiclity to create the orientation program/policy and procedures (SNF) what is included in the personnel policies & procedures section of the orientation program?
4. philosophy of care
5. patient's rights
6. legal and ethical issues.
7. direct patient care- transferring, bathing, positioning, training.
8. comfort and environment.
9. federal and state regulations.
10. choking (CPR/First Aid certification)
11. A signed performance evaluation. (SNF) prior to any direct contract with a patient, at least a total of 16 hours of training shall be provided in what areas?
12. communication & interpersonal skills.
13. infection control.
14. safety and emergency procedures including the heimlich maneuver.
15. promoting the independence of patients.
16. respecting the rights of patients 173 173 (SNF) what are some basic requirements for pt rooms and physical plant?
17. they must be lableled on the outside of the door by #, letter, or both for identification.
18. rooms cannot be locked unless they are an approved seclusion room in a psychiatric facility.
19. fences, yards, exits and doorcannot be locked w/out DHS approval
20. rooms w/ ambulatory patients must be labeled "reserved for ambulatory patient" with half inch lettering